Organization
ACTIVE RESILIENCE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNIA BAKER LPC CPCS (CLINICAL DIRECTOR)
(678) 658-3699
Entity
Organization
Contact information
Practice address
659 AUBURN AVE NE APT 228, ATLANTA, GA 30312-1980
(678) 658-3699
Mailing address
659 AUBURN AVE NE APT 228, ATLANTA, GA 30312-1980
(678) 658-3699
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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